Quantitative Cross Sectional Study Comparing Subtotal versus Total Thyroidectomy for Benign Lesions of Thyroid - Abstract
There exists diversity of opinion regarding Total thyroidectomy for the management of benign Multinodular goiter. As the management differs in different schools of thought, there is further confusion. In our study from July 2012 to October 2014, 55 patients were studied. In these, 49(88.67%) were females and 6(11.32%) were males. 26 patients were allotted to group 1 undergoing Subtotal Thyroidectomy (ST) (n=26), and 29 patients were allotted to group 2, undergoing Total Thyroidectomy (TT) (n=29) by randomization based on evaluation, FNAC (Fine Needle Aspiration Cytology) and indications for surgery. The age ranges from 21 to 70 years and mean age of 36.8 years. Results showed that there was no significant difference in the rate of major complications between the two procedures. Temporary hypoparathyroidism resulted in 10 (18.2%) patients in our study, of which 5 (17.2%) belonged to total thyroidectomy group and 5 (17.2%) belonged to the subtotal thyroidectomy group, which was statistically insignificant. Temporary recurrent laryngeal nerve palsy was noted in 10(18.2%) patients, of which 4(16%) belonged to Subtotal thyroidectomy group and 6 (21.4%) belonged to Total thyroidectomy group, which was statistically insignificant. Haematoma was noted in 2 patients (7.6%) in Subtotal thyroidectomy group and stitch granuloma was noted in 2 (7.8%) patients in Total thryroidectomy group. Incidental malignancy was noted in 2 (7.8%) patients in group A and 3(9.8%) patients in another group. Over all, the complication rates are comparable in both but total thyroidectomy offers more advantages.